Membership Form 2018
Coon Lake Community & Senior Center

 


Name


_______________________________________________________________


Partner/Spouse


_______________________________________________________________


Address on CLB


_______________________________________________________________


Residence Address
(if different from above)


_______________________________________________________________


Home Phone


_______________________________________________________________


Cell Phone


_______________________________________________________________


Email address


_______________________________________________________________

 

Signature

 

_______________________________________________________________


The Coon Lake Community & Senior Center is a body of people who are concerned with the quality of life on Coon Lake Beach.  We provide support for local concerns, maintain and organize the Dock Space Program and maintain the Center (Clubhouse).  Memberships are available at volunteer and non-volunteer levels, with or without a dock space, but you must be a member in order to obtain a dock space.

  1. Volunteer (requires a minimum of 10 volunteer hours annually)
  2. Non-volunteer

As a member, you have an option to pay for, maintain and use up to two dock spaces.  While one space is available for every requesting resident in good standing, up to one additional dock space may be issued based on availability.  The additional space requires a payment at the non-volunteer level.  Please indicate the number of dock space(s) you would like to request by placing an “x” in the box directly to the right of the corresponding itemand enclose payment for the correct amount as outlined in the cost of membership section.

Cost of Membership

 

 

1 Person Membership
No Dock Space

 

2 Person Membership No Dock Space

 

Dock Space 1

 

Dock Space 2

 

Dock Space 3

 

Volunteer

 

30

 

50

 

100

 

+200

 

+200

 

Non-Volunteer

 

60

 

100

 

200

 

+200

 

+200

 


If you are interested in receiving a receipt for your membership, please indicate so and provide an email address for the receipt to be sent to.  All receipts will be sent electronically.

For questions regarding membership, please contact Kathy Stokke at (612) 718-0298, or any Officer or Director.  For questions regarding dock spaces, please contact Dale Voltin at (612) 718-6565.